What Is Hyperpigmentation? Causes, Types & Treatments (Ultimate Guide)

What Is Hyperpigmentation? Causes, Types & Treatments (Ultimate Guide)

 

Published by Nathalie • October,2, 2025 | 4 min read

The Glow Talk: Let's Get Real About Hyperpigmentation

You know that moment when you finally get rid of a breakout… only to be left with a stubborn dark mark that overstays its welcome? Or maybe you've noticed sun-kissed freckles turning into patches that feel less "cute" and more "why me?" If that sounds familiar, you've met hyperpigmentation.

It's one of the most common skin concerns worldwide, showing up across all ages, genders, and skin tones. Some of us call them dark spots, others call them age spots, sunspots, or melasma—but they all share the same root: too much pigment in one place.

Hyperpigmentation itself isn't dangerous. But it can weigh heavily on confidence, especially when it sits right where makeup doesn't seem to cover. The important part? It's manageable. With the right mix of knowledge, patience, and consistency, skin can look calmer, clearer, and more even.

This ultimate Strawberry guide breaks down what hyperpigmentation is, the different types of hyperpigmentation, hyperpigmentation causes and treatments, and what really works—from gentle skincare to in-office options. We'll also talk prevention, common myths, and how hyperpigmentation behaves differently across skin tones.

What Is Hyperpigmentation?

In plain words, hyperpigmentation means patches of skin that are darker than your natural tone.

It all comes down to melanin—the pigment that gives skin, hair, and eyes their color. When melanocytes (the skin cells that make melanin) go into overdrive, they produce more pigment than usual. The result? Flat spots, patches, or general unevenness.

The dark areas can be light brown, deep brown, gray, or even purple depending on skin tone and the cause. They don't hurt, and they're not contagious. But they can linger for weeks, months, or even years if not cared for properly.

Scientific illustration showing melanin production in normal vs overactive melanocytes

Types of Hyperpigmentation

Not all dark spots are the same. Understanding the types of hyperpigmentation is the first step in figuring out how to support your skin.

Post-Inflammatory Hyperpigmentation (PIH)

PIH is the most relatable type—especially if you've ever had acne. When the skin experiences inflammation (from pimples, eczema, cuts, or even waxing irritation), it produces extra pigment as part of the healing process. Once the inflammation fades, the darker spot stays behind.

PIH can look brown, purple, or even blue-gray depending on skin tone. It's especially common in medium to dark complexions because melanin activity is naturally higher.

Melasma

Melasma is sometimes called the "mask of pregnancy," but it can affect anyone. It's linked to hormonal shifts—pregnancy, birth control, thyroid conditions—and often shows up as symmetrical brown patches across the cheeks, forehead, or upper lip.

Unlike acne marks, melasma is more diffuse and can be stubborn to treat. Hormonal triggers make it a bit more unpredictable, too.

Sun-Induced Hyperpigmentation (Sunspots)

Also known as lentigines or age spots, these are the spots that come from years of UV exposure. They're flat, brown, and usually appear on sun-exposed areas: face, chest, shoulders, and hands.

Think of them as little reminders from the sun to wear SPF. They tend to increase with age, which is why they're often nicknamed "liver spots" or "age spots."

Drug-Induced Pigmentation

Certain medications can lead to widespread darkening. Antibiotics, chemotherapy drugs, antimalarials, and even NSAIDs may cause pigmentation changes. These usually look different from typical acne marks or sunspots and may appear in unusual patterns.

Hormonal Hyperpigmentation

Beyond melasma, general hormonal imbalances like PCOS, menopause, or thyroid disorders can lead to hyperpigmentation. These shifts can trigger uneven patches or worsen existing pigmentation issues.

Visual comparison showing different types of hyperpigmentation on various skin tones

Hyperpigmentation Causes and Treatments

So, why does this all happen? Hyperpigmentation comes down to one core thing: overproduction of melanin. But the reasons behind it are varied.

Main Causes

  • Sun Exposure: The #1 cause worldwide. UV light stimulates melanocytes to make melanin as protection. Over time, this creates sunspots and uneven tone.
  • Inflammation & Skin Trauma: Acne, eczema, psoriasis, or even minor cuts can leave behind dark spots. Over-exfoliating, waxing, or shaving irritation can do the same.
  • Hormonal Changes: Pregnancy, birth control, menopause, thyroid shifts.
  • Medications: Antibiotics, chemotherapy, NSAIDs, antimalarials.
  • Underlying Conditions: Autoimmune and endocrine disorders.
  • Lifestyle Habits: Picking pimples, skipping sunscreen, lack of sleep, high stress, or even pollution exposure.

What Helps Now

The best approach combines three goals:

  1. Reduce melanin production
  2. Encourage skin cell turnover
  3. Protect against future triggers

Everyday Foundations

  • Broad-spectrum SPF 30+: This is the most important daily step. Indoors, outdoors, sunny days, cloudy days—always. Reapply every 2 hours if outside.
  • Gentle cleansing: Harsh scrubs create more trauma. Go for mild, non-stripping cleansers.
  • Hands off: No picking, no scratching, no poking—your skin heals best without interference.

Topical Ingredients to Look For

  • Vitamin C: Brightens and defends against free radicals. Works well in serums.
  • Niacinamide (2–5%): Reduces pigment transfer between cells, calms redness.
  • Azelaic Acid (10–20%): Fights acne and pigmentation at the same time.
  • Tranexamic Acid (2–5%): A favorite for stubborn melasma.
  • Alpha-Arbutin (1–2%): A plant-based brightener that's usually well-tolerated.
  • Retinoids (0.01–0.1%): Speed up cell turnover and help other actives penetrate better.
  • Hydroquinone (2–4%): Considered the gold standard for stubborn pigmentation, but it requires careful use under dermatologist guidance.

What to Avoid

  • Over-exfoliating (both physical and chemical).
  • DIY citrus masks (lemon juice can burn).
  • Skipping sunscreen after using actives.

In-Office Options

  • Chemical Peels: Glycolic, salicylic, or TCA to exfoliate deeply.
  • Laser Therapy: Targets melanin with precision; must be chosen carefully for darker skin.
  • Microneedling: Promotes collagen and skin renewal, often paired with topical serums.

Holistic & Supportive Care

  • Diet & Nutrition: Antioxidants from berries, leafy greens, and green tea support skin defense.
  • Natural Antioxidants: Licorice extract, resveratrol, turmeric, and green tea may support brightening.
A Simple Strawberry Routine for Hyperpigmentation

Here's a gentle, Strawberry-approved AM/PM routine for skin that's dealing with hyperpigmentation.

Morning

  1. Gentle cleanser
  2. Antioxidant serum (Vitamin C or Niacinamide)
  3. Strawberry Ultra Strength Skin Resurfacing Cream (with exfoliating + brightening actives to soften texture and reduce spots)
  4. Broad-spectrum SPF 30+

Evening

  1. Gentle cleanser
  2. Targeted active (Azelaic Acid or Retinoid, alternate nights)
  3. Hydrating layer (fragrance-free moisturizer)
  4. Strawberry Skin Cream for Keratosis Pilaris (yes, it also helps with uneven tone on arms and legs)

Consistency is the secret. Small steps, daily care, and patience add up.

Flat lay of skincare products for hyperpigmentation routine

Hyperpigmentation in Different Skin Tones

Hyperpigmentation doesn't discriminate, but it can look different depending on skin tone.

  • Lighter skin tones: More likely to develop sun-induced spots and redness. Spots are often light brown.
  • Medium skin tones: Higher risk of PIH (acne marks, shaving spots). Spots may be tan to dark brown.
  • Darker skin tones: Pigmentation can appear deeper, ranging from brown to purple. Some treatments like strong lasers or peels may backfire and worsen discoloration, so gentler approaches are safer.

Busting Myths & Misconceptions

Hyperpigmentation has its share of myths. Let's set the record straight:

  • "Dark spots will vanish overnight." They won't. Fading takes weeks to months.
  • "Scrubbing harder helps." It doesn't—it worsens trauma and makes marks last longer.
  • "Only natural remedies are safe." Some may help, but others can irritate. Safety depends on the ingredient, not the label.
  • "Dark spots mean dirty skin." Absolutely false. Hyperpigmentation has nothing to do with hygiene.

The Future of Hyperpigmentation Care

Skin science is always evolving, and there are exciting innovations ahead:

  • AI & Technology: Apps can now track pigmentation changes with precision.
  • New Actives: Peptides, advanced Vitamin C derivatives, and growth factors are being developed.
  • Personalized Routines: Skincare tailored to your genetics, hormones, and environment.

Final Thoughts

So, what is hyperpigmentation? It's your skin producing extra melanin—whether sparked by sun, hormones, inflammation, or life's little skin stresses. It's not harmful, it's not your fault, and it doesn't mean your skin isn't beautiful.

With patience, daily sunscreen, and the right mix of gentle brighteners, your skin can absolutely look calmer, clearer, and more radiant again.

Hyperpigmentation fades slowly, but your glow is always worth the wait.

Ready to Support Your Skin?

Strawberry Skin Resurfacing Cream for smoother texture and a brighter look.
Discover Strawberry Skin Cream for Keratosis Pilaris to soften roughness and even tone.

Because your skin deserves sweetness and strength.

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This article is for information only and isn't medical advice. Always consult with a qualified healthcare provider for concerns about your skin or for proper diagnosis and treatment recommendations.

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